It's so bad that I'm not even sure who I am sexually anymore!
I am a gay man in my late 20s who almost exclusively bottoms. For the past year, I have had a persistent, painful anal fissure that continues to frequently reopen as a result of bowel movements. This has prevented me from having penetrative sex with my partner as I am often in too much pain and afraid of harming the fissure or bleeding. I have had two consults with colorectal doctors, but they have been relatively dismissive and one was fairly homophobic.
He wrote that anal fissures are occasionally the sign of an STI, so if you haven’t been swabbed anally and had your blood tested for syphilis, get that done right now. Otherwise, the doctor wrote that, “LIFELONG attention to keeping bowels soft and moving is mostly the key.” That means fiber/psyllium as well as a high-fiber diet everyday, along with drinking water and stool softeners, as needed. Also keep hygiene in mind.
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